Individual
CHRISTA MALCOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 BERRYHILL CIR, EDMOND, OK 73034-6526
(405) 317-0231
Mailing address
2301 BERRYHILL CIR, EDMOND, OK 73034-6526
(405) 317-0231
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
OK
Other
Enumeration date
04/14/2014
Last updated
08/19/2016
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